Tennis elbow is the common name given to pain originating on the outside or
lateral side of the elbow. This condition arises from an irritation or inflammation of the tendons of one or several
forearm muscles at their attachment to the bony protuberance close to the elbow joint, known as the lateral
epicondyle. Therefore the medical term for this condition is lateral epicondylitis, meaning an inflammation of the
epicondyle. If the condition is located on the inside or medial side of the elbow it is often referred as
Golfer’s Elbow or medial epicondylitis. This, however, is not as prevalent as lateral
epicondylitis.
There are many causes for Epicondylitis - not just tennis & golf - as any activity that involves repetitive
gripping of objects can result in this affliction. Some individuals develop tennis or golfer’s elbow from
prolonged carrying of heavy bags, knitting, chopping food, and/or computer work using improper wrist and arm
posture. With sports, the problem arises when we are new to the game, use an improper technique, try out new
racquets or clubs, or increase the intensity or duration of exercise without the proper preparation. Sometimes the
condition can be so severe that it is difficult to even grip and lift one’s coffee cup!
Some cases involving epicondylitis can be attributed to problems further up the arm or even in the neck. If
someone has a disc condition or spinal subluxation, the nerves that control the forearm muscles may become irritated
causing the muscles to tense and put marked strain on the tendon attachment(s). In these circumstances, this
predisposes an individual to elbow pain from any of the above mentioned causes. If left untreated it is possible
that the joints of the elbow can become subluxated further complicating the condition.
Epicondylitis is a condition that rarely resolves of its own accord and so requires proper medical management. A
qualified medical professional such as a chiropractor can determine the exact cause of the problem and initiate the
proper care and treatment. This might include modalities such as ultrasound, electrotherapy, massage, hot and cold
treatments, bracing and home stretching and exercises. Chiropractic adjustments have proven extremely effective in
the overall management of this problem.